Get Conditional Pesticide Product Registration A New Pesticide May Be ... - Azdeq

This guide provides a clear and comprehensive overview of the steps needed to successfully complete the Conditional Pesticide Product Registration form online. Understanding the components and requirements of this form will facilitate your application process.

Follow the steps to fill out the form accurately and efficiently.

1. Press the ‘Get Form’ button to access the registration form. This will open the necessary document for you to begin your submission.
2. Enter the active ingredient(s) of the pesticide in the specified fields, including the Chemical Abstracts Service (CAS) numbers and their common names.
3. Provide the product brand name and the EPA registration number for the pesticide you are registering. Ensure this information is accurate and matches existing records.
4. Detail why the conditional registration is important by outlining specific benefits to agriculture in Arizona, including quantitative data when possible. Attach any supporting documentation as needed.
5. Review the requirements as specified under A.R.S. §49-310 to ensure compliance and provide assurances regarding the development of new data for permanent registration.
6. Complete the certification section by providing your name, title, and contact information as the authorized representative. Ensure that all information is true, accurate, and complete.
7. Submit the completed Conditional Pesticide Product Registration form to the Arizona Department of Environmental Quality as specified in the instructions, ensuring you retain a copy for your records.
8. Following submission, monitor for any follow-up or requests for additional information from ADEQ to facilitate the conditional registration process.

Complete your Conditional Pesticide Product Registration form online today to ensure a smooth and efficient application process.